Idaho Dept of Health & Welfare Itp Reg. 1
NPI #1932248234 in Coeur D Alene, Idaho
Provider Information
- NPI Number
- 1932248234
- Entity Type
- Organization
- Organization Name
- Idaho Dept of Health & Welfare Itp Reg. 1
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 5, 2007
- Last Updated
- Aug 5, 2013
Practice Location
- Address
- 2195 IRONWOOD CT
- City
- Coeur D Alene
- State
- Idaho
- ZIP Code
- 83814-2628
- Phone
- (208) 769-1409
Authorized Official
- Name
- MS. MARY J JONES, B.U.S.
- Title
- PROGRAM MANAGER
- Phone
- (208) 334-5523
Specialties & Taxonomy Codes
| Specialty |
|---|
| Local Education Agency (LEA) |
| Early Intervention Provider Agency |
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